HomeMy Public PortalAbout4924TEMPLE CITY BLVD_Electrical (2) 7"'46SCSSOS7BS APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOB ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS `_
131
JOHN A LAMBIE COUNTY ENGINEER ) f
CASSATT D GRIFFIN BURT OF BUILDING LOCALITY /.
FOR APPLICANT TO FILL IN NEAREST
PERM FEES CROAR
1 r M NUMBER EACH I PEE OWNER ,
OUTLe-re i a MAIL ` -- / /
uGHTt C6PT� SW 10 ADDRESS 4 . 4
LIGHTING FIXTURES 10 C NO
ELEC RANGES m DRYERS ELECTRICIAN
WATER HEATERS 50 ADDRESS
[LEC "ACKHTRS DISHWASHERS
GARBAGE DISPOSERS AUTO- CITY TEL NO
STATE
WASHERS BTA COOKING UNITS 23 1 LICENSE NO
MOTORS OVER INC H P
D15TR,1:f NO. GROUPI z N CES D Y
O— I/E At 26
Y.— z no II13P=ON BFMRV
2— a 1 00
a— 15 150
15— So 250
50-200 ao0
SIGNS NO TR^ne
NO LAMPS
SERVICE O-DOOV 100
SERVICE OVER SOOV 500 _
MISC
3
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE 6 APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS " 1 ON DATE IN"KCTOK B SIYHATURE
AN STATE THAT THE ABOVE IS CORRECT AND AGREE T COMRY CONDUIT
WITH ALL COUNTY ORDINANCES AHD STATE LAWS REGULATING
ELECTRICAL WIRING WIRING /3-zQ
1 HERESY CERTIFY THAT 1 AM PROPERLY REOIaTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWN" OF THE AEOVB POWER
DESCRIBED RESIDE AL PROPENTY
SIGNATURE ILITYCO NOTIFIED \
R
VAL.IDA
SUPERVISING ELECTRICAL ENGIN-ML
OIL MO CADH
L&19so JM 9 2 D 4.45 Iq